Residential Charge Account Application

Residential Charge Account Application

* = required fields

Name*: (First, Middle Initial, Last)
Title:	Mr.- Ms.- Mrs.-
Date of Birth (DD/MM/YY)*:	/ /
Address*:
Suite/Apt#/Floor*:
City*:
State*:
ZIP*:
Former Address (if at current less than 1 year)*:
Suite/Apt#/Floor*:
City*:
State*:
ZIP*:
Home Phone*:	() -
Cell Phone:	() -
E-mail address*:
Employment:
If Rent, Landlord Name & Address*:
Co-Applicant's Name:
Co-Applicant Phone:	() -
Co-Applicant Date of Birth: (mm-dd-yyyy)	- -
Employment:
Sales Representative:
How did you hear of us?*
Please correctly type in the following phrase to verify: Please type o.i.l. without the periods in the box to the right.
By submitting this application I authorize you to verify the information on this application and to receive and exchange information about me including requesting reports from consumer reporting agencies. I understand that an account may not be established if I do not meet applicable criteria relating to my creditworthiness.

IN CASE OF ERRORS OR INQUIRIES ABOUT YOUR BILL send your inquiry in writing to TOWNSEND OIL CO. 27 Cherry Street, Danvers, Massachusetts 01923 (on a separate sheet) so that we may receive it within 60 days after the bill was mailed to you. Your written inquiry must include:

1. Your name and account number (if any)
   
2. A description of the error and why (to what extent you can explain) you believe it is an error; and
   
3. The dollar amount of the suspected error.
   

You remain obligated to pay the parts of your bill not in dispute, but you do not have to pay any amount in dispute during the time the Creditor is resolving the dispute. During the same time, the Creditor may not take action to collect disputed amounts or report disputed amounts as delinquent.

In compliance with Massachusetts General Law Chapter 93C your letter will be acknowledged within 14 days of receipt and handling concluded within 60 days or a maximum of 120 days if further correspondence about the matter is necessary.

FINANCE CHARGES

REGULAR ACCOUNTS - There will be a FINANCE CHARGE computed by a periodic rate of 1-1/2% per month for a balance existing after thirty (30) days from the closing date, which is an ANNUAL PERCENTAGE RATE of 18%. Finance charges may be avoided by paying the "new balance" before the billing date of the next month.

BUDGET ACCOUNTS - No finance charge when payments are made in accordance with budget credit terms.